Is ACA good medicine? Many states have their doubts

California’s leaders appear to strongly support implementing the Affordable Care Act. But many states have different views about how or whether to expand Medicaid, the joint federal-state program that provides health care coverage for low-income individuals, and are exploring using the flexibility given them by the U.S. Supreme Court. Here’s an update based on various published accounts and a General Accountability Office report. Remember, not all states have made their intentions apparent or completely clear, and governors don’t always have the final say.